Phase III Study in Refractory Behcet's Disease

NCT ID: NCT00995709

Last Updated: 2015-08-31

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

118 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-10-31

Study Completion Date

2010-07-31

Brief Summary

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The purpose of this pivotal trial is to evaluate subcutaneous (SQ) AIN457 as an adjunctive therapy to reduce the rate of exacerbations of posterior uveitis or panuveitis secondary to Behçet's disease during the 24 weeks of study therapy as compared to standard of care alone.

Detailed Description

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Conditions

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Behcet Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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AIN457C 300 mg every 2 week dosage regimen

AIN457 300 mg was administered in 2 subcutaneous (s.c.) injections of 150 mg each. every 2 weeks

Group Type EXPERIMENTAL

AIN457

Intervention Type DRUG

AIN457C 300 mg monthly dosage regimen

AIN457 300 mg was administered in 2 subcutaneous (s.c.) injections of 150 mg e

Group Type EXPERIMENTAL

AIN457

Intervention Type DRUG

Placebo

Placebo was administered in 2 s.c. injections every 2 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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AIN457

Intervention Type DRUG

AIN457

Intervention Type DRUG

Placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients with Behçet's disease and with a history of recurrent uveitis in a least one eye.

* \>2+ vitreous haze with \<2+ anterior chamber cell grade (intermediate or posterior uveitis) or \>2+ vitreous haze with \>2+ anterior chamber cell grade (panuveitis)
* presence of retinal infiltrates or vasculitis or hemorrhages
* documented \>10 ETDRS letter or 2 line Snellen decrease in visual acuity attributed to ocular inflammation secondary to the recurrent exacerbation of Behçet's disease.
* Requirement for either of the following immunosuppressive therapies for at least 3 of the past 6 months for the treatment of or to prevent an exacerbation of ocular inflammation related to Behçet's disease:

* Prednisone or equivalent \>10 mg daily
* The need for at least \>1 periocular injection or \>1 intravitreal corticosteroid injection in the study eye within the past 6 months (the last injection must have not been given within 6 weeks of screening)
* Treatment with cyclosporine, tacrolimus, azathioprine, mycophenolate mofetil, mycophenolic acid or methotrexate either as monotherapy or in combination with or without steroids. (Patients treated at any time with chlorambucil or cyclophosphamide are not eligible for the study.)
* Patients not meeting the above specified criteria for immunomodulatory therapies are eligible for enrollment if they are intolerant to systemic immunomodulatory therapy as determined by the study investigator.

Exclusion Criteria

* Subjects with infectious uveitis, uveitis due to other causes than Behçet's disease, or uveitis of unknown etiology.
* Less severe (i.e. anterior) uveitis associated with Behçet's disease.

Ocular treatments

* Treatment with intravitreal anti-VEGF agents administered to the study eye within 3 months prior to study screening.
* Treatment with any injected or implantable corticosteroid releasing device (i.e., flucinolone acetonide implant, Retisert®) in the study eye within the last 3 years.
* Intraocular surgery or laser photocoagulation in the study eye within the last 6 weeks prior to screening except for a diagnostic vitreous or aqueous tap with a small-gauge needle.

Systemic conditions or treatments

* Treatment with any live or live-attenuated vaccine (including vaccine for varicella-zoster virus or measles) within 2 months prior to screening.
* Any systemic biologic therapy (e.g. interferon, infliximab, daclizumab, etanercept, or adalimumab) given intravenously or subcutaneously within 3 months prior to screening and no prior treatment with AIN457.
* Any prior treatment with systemic alkylating agents (cyclophosphamide, chlorambucil).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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Novartis Investigative Site

Baltimore, Maryland, United States

Site Status

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Arlington, Texas, United States

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Houston, Texas, United States

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Alexandria, , Egypt

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Grenoble, , France

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Dessau, , Germany

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Essen, , Germany

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Heidelberg, , Germany

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Münster, , Germany

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Athens, Greece, Greece

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Larissa, Greece, Greece

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Athens, GR, Greece

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Heraklion - Crete, GR, Greece

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Ioannina, GR, Greece

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Larissa, GR, Greece

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Ioannina, , Greece

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Pátrai, , Greece

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Hong Kong, Hong Kong, Hong Kong

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Chennai, Tamil Nadu, India

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Madurai, Tamil Nadu, India

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Angamaly, , India

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New Delhi, , India

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Afula, , Israel

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Nahariya, , Israel

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Ramat Gan, , Israel

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Tel Aviv, , Israel

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Ancona, AN, Italy

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Milan, MI, Italy

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Amman, , Jordan

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Irbid, , Jordan

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Singapore, Singapore, Singapore

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Seoul, Korea, South Korea

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Seoul, Korea, South Korea

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Barcelona, Barcelona, Spain

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Barcelona, Catalonia, Spain

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Barcelona, Catalonia, Spain

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Barcelona, , Spain

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Lausanne, Switzerland, Switzerland

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Bern, , Switzerland

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Lin-Ko, , Taiwan

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Monastir, , Tunisia

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Sfax, , Tunisia

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Tunis, , Tunisia

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Ankara, Turkey, Turkey (Türkiye)

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Ankara, Turkey, Turkey (Türkiye)

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Altindag / Ankara, , Turkey (Türkiye)

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Istanbul, , Turkey (Türkiye)

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Istanbul, , Turkey (Türkiye)

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Novartis Investigative Site

Izmir, , Turkey (Türkiye)

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Countries

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United States Egypt France Germany Greece Hong Kong India Israel Italy Jordan Singapore South Korea Spain Switzerland Taiwan Tunisia Turkey (Türkiye)

References

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Dick AD, Tugal-Tutkun I, Foster S, Zierhut M, Melissa Liew SH, Bezlyak V, Androudi S. Secukinumab in the treatment of noninfectious uveitis: results of three randomized, controlled clinical trials. Ophthalmology. 2013 Apr;120(4):777-87. doi: 10.1016/j.ophtha.2012.09.040. Epub 2013 Jan 3.

Reference Type DERIVED
PMID: 23290985 (View on PubMed)

Other Identifiers

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2009-011237-27

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CAIN457C2303

Identifier Type: -

Identifier Source: org_study_id

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